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Arch Ophthalmol. 2005;123:1268-1270.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

We describe an unusual case of implant exposure with epithelial downgrowth into the scleral pouch following evisceration. The patient’s clinical course and treatment as well as a histologic analysis of the excised scleral pouch are detailed. Excision of the implant and scleral pouch followed by diamond-shaped dermis-fat graft replacement was eventually required. The internal aspect of the sclera was completely covered with nonkeratinized stratified squamous epithelium. Epithelial downgrowth following evisceration is a rare complication that should be considered when orbital implant exposure occurs or when cysts overlying the sclera are discovered. Epithelial downgrowth needs to be adequately treated to allow for successful socket reconstruction and ocular prosthesis retention.

Evisceration is a common ophthalmic procedure that has historically been used for cases of severe ocular trauma, cosmetic improvement of a disfigured eye, endophthalmitis, and blind, painful eye.¹ Evisceration is considered a safe and effective procedure with few postoperative complications. Reported complications . . . [Full Text of this Article]

Report of a Case


Histopathologic Analysis

Comment

AUTHOR INFORMATION
Rajat Ghaiy, MS; Dale R. Meyer, MD, FACS; Martha A. Farber, MD

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